| NPI | 1164815916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON TEITELBAUM Administrator 716-633-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NY 142130010) |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2019-05-10 |